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Clinical Trials in Ireland / NCT05100862
Active, not recruiting Phase 3

A Study of Zanubrutinib Plus Anti-CD20 Versus Lenalidomide Plus Rituximab in Participants With Relapsed/Refractory Follicular or Marginal Zone Lymphoma

NCT05100862 · tracked via the Priya Life Science Ireland tracker
Sponsor
BeOne Medicines
Phase
Phase 3
Started
2022-03-10
Last updated
2026-09-11

Condition(s) studied

Relapsed/Refractory Follicular LymphomaMarginal Zone Lymphoma

Investigational drug(s) / intervention(s)

ZanubrutinibRituximabLenalidomideObinutuzumab

Zanubrutinib: Zanubrutinib will be administered orally as two 80-milligram (mg) capsules twice a day (160 mg twice a day) or four 80-mg capsules once a day (320 mg once a day) continuously in repeated 28-day cycles.

Rituximab: Rituximab will be administered intravenously at a dose of 375 mg/meter squared on Days 1, 8, 15, and 22 of Cycle 1 and on Day 1 of Cycles 2 to 5. Each cycle is 28 days in length.

Lenalidomide: Lenalidomide will be administered orally as 20-mg capsules (10 mg if creatinine clearance ≥ 30 mL/min but \< 60 mL/min) once a day on Days 1 to 21 of each 28-day cycle for a total of 12 cycles.

Obinutuzumab: Obinutuzumab will be administered at a dose of 1000 mg on Cycle 1 Days 1, 8, 15 and then on Cycles 2 to 6 Day 1.

Study summary

The purpose of the study is to compare the efficacy of zanubrutinib plus obinutuzumab versus lenalidomide plus rituximab (R\^2) in participants with relapsed/refractory (R/R) follicular lymphoma (FL), as measured by progression-free survival as determined by an independent review committee in accordance with the 2014 modification of the International Working Group on non-Hodgkin lymphoma (NHL) Criteria based on n positron emission tomography and computed tomography (PET/CT), and to compare the efficacy of zanubrutinib plus rituximab versus R\^2 in participants with R/R marginal zone lymphoma (MZL), as measured by progression free survival (PFS) assessed by IRC in accordance with CT-based Lugano 2014 Criteria.

Eligibility

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
Key Inclusion Criteria: * Histologically confirmed grade 1-3a FL or MZL * Previously treated with ≥ 1 line of systemic therapy including anti-CD20 agent. Must have a documented failure to achieve at least partial response during the most recent systemic therapy or documented progressive disease after the most recent systemic therapy * Need for systemic therapy for FL or MZL * Measurable disease by computed tomography or magnetic resonance imaging * Adequate bone marrow, liver and renal function Key Exclusion Criteria: * Transformation to aggressive lymphoma * Requiring ongoing need for corticosteroid treatment * Clinically significant cardiovascular disease * Prior malignancy within the past 2 years * Active fungal, bacterial, and/or viral infection that requires systemic therapy * Prior treatment with lenalidomide or drug from same class, if without response (partial or complete) or short remission duration (\< 24 months) Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Primary outcome measure(s)

Trial sites (264)

FacilityCityRegionStatus
Ucsf Fresno University of California San Francisco Fresno Fresno California
Kaiser Permanente Southern California Irvine California
Cancer and Blood Specialty Clinic Los Alamitos California
Los Angeles Cancer Network Los Angeles California
Valkyrie Clinical Trials Los Angeles California
UCLA Hematologyoncology Los Angeles California
Scripps Health San Diego California
Sharp Healthcare Sharp Memorial Hospital San Diego California
Baptist Md Anderson Cancer Center Jacksonville Florida
Ascension Sacred Heart Pensacola Florida
Northwest Georgia Oncology Centers Marietta Marietta Georgia
Cancer Care Specialists of Illinois Decatur Illinois
Fort Wayne Medical Oncology and Hematology Fort Wayne Indiana
Mission Cancer and Blood Waukee Iowa
Cotton Oneil Cancer Center Topeka Kansas
Cancer Center of Kansas Wichita Kansas
Baptist Health Lexington Lexington Kentucky
Christus Highland Cancer Treatment Center Shreveport Louisiana
Luminis Health Anne Arundel Medical Center Annapolis Maryland
The University of Maryland Greenebaum Comprehensive Cancer Center Baltimore Maryland
Ascension St Agnes Hospital Baltimore Maryland
American Oncology Partners of Maryland Pa Bethesda Maryland
Henry Ford Hospital Detroit Michigan
Corewell Health the Michigan Cancer Consortium Grand Rapids Michigan
Hattiesburg Hematology and Oncology Clinic Hattiesburg Mississippi
University of Missouri Hospital Ellis Fischel Cancer Center Columbia Missouri
Oncology Hematology Associates Springfield Missouri
St Vincent Frontier Cancer Center Billings Montana
Nebraska Cancer Specialists Omaha Nebraska
Comprehensive Cancer Centers of Nevada Las Vegas Nevada
Iyengar Hematology Oncology Medical Center Pa Bayonne New Jersey
Summit Medical Group Florham Park New Jersey
New York Cancer and Blood Specialists Shirley New York
Suny Upstate Medical University Syracuse New York
North Shore Hematology Oncology Associates Eccc Bronx The Bronx New York
Optum Medical Care, Pc Westbury New York
Levine Cancer Institute Wake Forest Charlotte North Carolina
Oncology Hematology Care Clinical Trials, Llc Cincinnati Ohio
Va Northeast Ohio Healthcare System Cleveland Ohio
Toledo Clinic Cancer Center Toledo Ohio

+ 224 more sites — see the full list on the official registry below.

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT05100862 on ClinicalTrials.gov ↗ ← All trials in Ireland